Individual
ANTOINETTE GRACE SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2575 HARRISON AVE, PANAMA CITY, FL 32405-4458
(850) 296-2448
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-0749
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19226
FL
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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